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California Advancing and Innovating Medi-Cal (CalAIM) (formerly “Medi-Cal 2020”)

State: California
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 08/31/2005
Effective: 09/01/2005
Expiration: 12/31/2026

Supporting Documents

Pending Application(s) and Related Documents

Date Title
Date   11/18/2022 Title   Pending Application – Managed Care Model Changes Amendment (PDF, 659.85 KB) View/Submit Comments

Approved Application(s) and Related Documents

Date Title
Date   06/29/2022 Title   Demonstration Approval (PDF, 1.41 MB)
Date   01/28/2022 Title   Risk Mitigation Approval (PDF, 220.26 KB)
Date   01/14/2022 Title   COVID-19 Public Health Emergency Amendment Approval (PDF, 264.26 KB)
Date   08/13/2015 Title   Fact Sheet (PDF, 46.03 KB)

Administrative Record

Date Title
Date   11/18/2022 Title   CMS Completeness Letter (PDF, 239.29 KB)
Date   09/08/2022 Title   COVID-19 Public Health Emergency Appendix K Update Approval (PDF, 842.29 KB)
Date   07/06/2022 Title   State Acceptance Letter- Asset Test Amendment (PDF, 219.33 KB)
Date   06/28/2022 Title   Dental Transformation Initiative Program Year 6- Final Report (01/01/2021- 12/31/2021) (PDF, 652.64 KB)
Date   06/03/2022 Title   State Quarterly Report - January 2022 – March 2022 (PDF, 733.01 KB)
Date   05/10/2022 Title   Annual and Close Out Report - January 2021-December 2021 (PDF, 1.33 MB)
Date   04/13/2022 Title   CMS Completeness Letter – Asset Test Amendment (PDF, 207.45 KB)
Date   04/06/2022 Title   Asset Test Amendment (PDF, 341.31 KB) View Comments
Date   02/24/2022 Title   State Quarterly Report Oct 2021–Dec 2021 (PDF, 657.94 KB)
Date   02/24/2022 Title   State Quarterly Report Oct 2021–Dec 2021 Cover Letter (PDF, 258.25 KB)
Date   02/24/2022 Title   State Quarterly Report Oct 2021–Dec 2021 Drug Medi-Cal Organized Delivery System DMC-ODS Data
Date   02/07/2022 Title   State Acceptance of Managed Care Risk Mitigation COVID-19 amendment (PDF, 238.45 KB)
Date   12/29/2021 Title   CMS Extension Approval (PDF, 1.49 MB)
Date   11/16/2021 Title   California Quarterly Report July 2021 - September 2021 (PDF, 1.01 MB)
Date   10/25/2021 Title   California Annual Report July 2020 – June 2021 (PDF, 1.43 MB)
Date   07/20/2021 Title   Quarterly Budget Neutrality Report October 2020 - December 2020 (XLSM, 1.04 MB)
Date   07/15/2021 Title   California Renewal Completeness Letter (PDF, 134.09 KB)
Date   07/15/2021 Title   Medi-Cal 2020/CAL-AIM (DHCS) Renewal Request (PDF, 5.77 MB) View Comments
Date   05/06/2021 Title   Annual Monitoring Report July 1, 2019 - June 30, 2020 (PDF, 774.07 KB)
Date   04/27/2021 Title   Quarterly Monitoring Report October 1, 2020 - December 31, 2020 (ZIP, 968.91 KB)
Date   04/05/2021 Title   CMS Approved STC Modification (PDF, 4.6 MB)
Date   03/01/2021 Title   CMS Approved STC Modification (PDF, 337.12 KB)
Date   02/12/2021 Title   CMS Letter to State (PDF, 38.92 KB)
Date   12/29/2020 Title   CMS Temporary Extension (PDF, 4.37 MB)
Date   12/23/2020 Title   Dental Transformation Initiative Program Year 4 - Final Report (01/01/2019 – 12/31/2019) (PDF, 604.08 KB)
Date   11/30/2020 Title   Quarterly Monitoring Report July 1, 2020 - September 30, 2020 (ZIP, 1.36 MB)
Date   10/09/2020 Title   CMS Approval - Appendix K Update (PDF, 290.6 KB)
Date   10/02/2020 Title   Extension Request CMS Completeness Determination Letter (PDF, 422.53 KB)
Date   10/02/2020 Title   Medi-Cal 2020 12 Extension Request (PDF, 597.33 KB) View Comments
Date   09/25/2020 Title   State Acceptance Letter (PDF, 237.02 KB)
Date   09/11/2020 Title   CMS Accepted Interim Evaluation Report - Out-of-state Former Foster Youth (PDF, 603.2 KB)
Date   08/03/2020 Title   CMS Amendment Approval (PDF, 4.13 MB)
Date   07/27/2020 Title   CMS COVID-19 Approval (PDF, 408.56 KB)
Date   04/06/2020 Title   State COVID-19 Application (PDF, 76.81 KB)
Date   03/18/2020 Title   GPP and PACE Amendment Completeness Determination Letter (PDF, 117.82 KB)
Date   03/02/2020 Title   Global Payment Program Amendment (PDF, 1.87 MB) View Comments
Date   02/25/2020 Title   CMS Approval – CA PRIME Final Interim Evaluation Report (PDF, 7.73 MB)
Date   02/25/2020 Title   CMS Approval – DTI Interim Evaluation Report (PDF, 1.36 MB)
Date   02/25/2020 Title   CMS Approval – SPD Interim Evaluation Report (PDF, 3.15 MB)
Date   01/22/2020 Title   California- PRIME Program Final Interim Evaluation Report (PDF, 6.68 MB)
Date   12/19/2019 Title   Medi-Cal 2020 Dental Transformation Initiative Program Year 3 - Final Report (PDF, 1.52 MB)
Date   11/27/2019 Title   Medi-Cal 2020 DY15 Q1 Progress Report (PDF, 1.24 MB)
Date   11/19/2019 Title   CMS Technical Correction (PDF, 4.36 MB)
Date   11/01/2019 Title   Annual Monitoring Report July 1, 2018 – June 30, 2019 (PDF, 1.61 MB)
Date   09/18/2019 Title   Medi-Cal 2020 DY14 Q3 Progress Report (PDF, 518.57 KB)
Date   04/29/2019 Title   Bridge to Reform Safety Net Care Pool (SNCP) Re-Allocation Letter (PDF, 161.37 KB)
Date   02/28/2019 Title   Medi-Cal 2020 DY14 Q2 Progress Report (PDF, 3.03 MB)
Date   01/18/2019 Title   Medi-Cal 2020 DY14 Q1 Progress Report (PDF, 484.33 KB)
Date   10/17/2018 Title   Annual Monitoring Report July 1, 2017 - June 30, 2018 (ZIP, 622.2 KB)
Date   09/19/2018 Title   California Access Assessment Design (PDF, 525.89 KB)
Date   08/01/2018 Title   Annual Monitoring Report July 1, 2016 - June 30, 2017 (PDF, 603.35 KB)
Date   06/07/2018 Title   Technical Correction Attachment N - Capitated Benefits Provided in Managed Care (PDF, 4.14 MB)
Date   05/24/2018 Title   Medi-Cal 2020 DY 13 Q3 Progress Report (PDF, 1.92 MB)
Date   04/05/2018 Title   Approved Evaluation Design for WPC Pilots Medi-Cal 2020 Demonstration (PDF, 2.69 MB)
Date   02/27/2018 Title   Medi-Cal 2020 DY 13 Q2 Progress Report (PDF, 720.89 KB)
Date   12/19/2017 Title   Approved HHP Amendment Medi-Cal 2020 Demonstration (12/19/17) (PDF, 2.83 MB)
Date   12/15/2017 Title   Medi-Cal 2020 Demonstration Amend Dec 15, 2017 (PDF, 3.81 MB)
Date   12/07/2017 Title   Demonstration Approval-Amended (PDF, 2.37 MB)
Date   11/28/2017 Title   Amendment 18 Health Home Amendment Request (PDF, 1.77 MB) View Comments
Date   11/28/2017 Title   Medi-Cal 2020 DY 13 Q1 Progress Report (PDF, 668.93 KB)
Date   11/03/2017 Title   Approved CCS and SPD Evaluation Designs letter (11/3/2017) (PDF, 109.8 KB)
Date   11/03/2017 Title   California Children’s Services (CCS) Program Approved Evaluation Design (11/3/2017) (PDF, 98.06 KB)
Date   11/03/2017 Title   California Seniors and Persons with Disabilities (SPDs) Program Approved Evaluation Design (PDF, 72.42 KB)
Date   10/26/2017 Title   Updated DMC-ODS CPE Protocol (10/26/2017) (PDF, 152.85 KB)
Date   10/25/2017 Title   California Annual Report DY 12- July 1, 2016- June 30, 2017 (PDF, 629 KB)
Date   09/12/2017 Title   Medi-Cal Dental Transformation Final Evaluation Design (PDF, 555.03 KB)
Date   09/08/2017 Title   State Acceptance Letter – Former Foster Care Youth Amendment (9/8/2017) (PDF, 131.9 KB)
Date   08/24/2017 Title   Medi-Cal 2020 DY 12 Q4 Progress Report (PDF, 470.34 KB)
Date   08/23/2017 Title   Medi-Cal 2020 PRIME Final Evaluation Design (PDF, 529.43 KB)
Date   08/18/2017 Title   CMS Approval Letter – Former Foster Care Youth Amendment (PDF, 559.45 KB)
Date   07/26/2017 Title   Approved Global Payment Program (GPP) Evaluation Design (PDF, 332.9 KB)
Date   06/05/2017 Title   State Application - Former Foster Care Youth Amendment (PDF, 203.69 KB) View Comments
Date   06/01/2017 Title   CMS Approved Technical Corrections - June 2017 (PDF, 3.36 MB)
Date   06/01/2017 Title   CMS Completeness Letter – Foster Care Youth Amendment (06/01/2017) (PDF, 1.21 MB)
Date   06/01/2017 Title   Medi-Cal 2020 Uncompensated Care Report #2 (PDF, 1.35 MB)
Date   05/30/2017 Title   Medi-Cal 2020 DY 12 Q3 Progress Report (PDF, 452.6 KB)
Date   05/24/2017 Title   California Letter of Withdrawal for MCAP Amendment (PDF, 66.82 KB)
Date   03/16/2017 Title   CA Bridge to Reform Final DSRIP Evaluation Report (3/16/2017) (PDF, 38.22 KB)
Date   03/16/2017 Title   CMS Review of CCS SPD DRI GPP Evaluation Design (3/16/2017) (PDF, 492.37 KB)
Date   03/02/2017 Title   Amendment 19 – Completeness Letter (03/02/2017) (PDF, 72.9 KB)
Date   03/02/2017 Title   Amendment 19- Medi-Cal Access Program Amendment (PDF, 1.18 MB) View Comments
Date   03/01/2017 Title   Medi-Cal 2020 DY 12 Q2 Progress Report (PDF, 1.61 MB)
Date   01/19/2017 Title   Demonstration Approval (1/19/2017) (PDF, 3.35 MB)
Date   01/06/2017 Title   CA Acceptance Letter (1/6/17) (PDF, 1.38 MB)
Date   12/08/2016 Title   Demonstration Approval (12/08/2016) (PDF, 4.38 MB)
Date   11/28/2016 Title   Medi-Cal 2020 DY 12 Q1 Progress Report (PDF, 547.44 KB)
Date   11/23/2016 Title   Amendment 18 – Completeness Letter (11/23/2016) (PDF, 92 KB)
Date   11/23/2016 Title   CMS Review of WPC Applications (11/23/2016) (PDF, 40.91 KB)
Date   11/22/2016 Title   Demonstration Approval (11/22/2016) (PDF, 3.62 MB)
Date   11/18/2016 Title   CMS Feedback on PRIME Draft Evaluation Design (11/18/2016) (PDF, 62.7 KB)
Date   11/18/2016 Title   PRIME Draft Evaluation Design (11/18/2016) (PDF, 258.17 KB)
Date   11/10/2016 Title   Medi-Cal 2020 Amendment #18 Request- Health Homes Amendment (PDF, 243.46 KB)
Date   11/09/2016 Title   CMS Approval of DSH Coordination Methodology and CBAS Program Integrity (11/09/2016) (PDF, 94.49 KB)
Date   11/07/2016 Title   WPC Draft Evaluation Design (11/7/2016) (PDF, 2.11 MB)
Date   10/28/2016 Title   Annual Report – Demo Year 11 (11/1/15-6/30/16) (PDF, 3.76 MB)
Date   10/21/2016 Title   CMS Approval of Updated Attachment MM - WPC Pilot Requirements and Metrics (PDF, 205.86 KB)
Date   10/21/2016 Title   CMS Review of WPC Applications (10/21/2016) (PDF, 42.09 KB)
Date   09/27/2016 Title   Medi-Cal 2020 California Children Service Pilot Update (PDF, 109.6 KB)
Date   09/19/2016 Title   CCS DTI GPP and SPD Draft Evaluation Designs (9/19/2016) (PDF, 5.45 MB)
Date   09/01/2016 Title   Amendment 17 – Dental Transformation Initiative Program Amendment (09/01/2016) (PDF, 6.62 MB) View Comments
Date   08/29/2016 Title   Amendment 17 – Completeness Letter (PDF, 73.4 KB)
Date   08/29/2016 Title   Medi-Cal 2020 DY 11 Q2 Progress Report (08/29/2016) (PDF, 917.92 KB)
Date   08/29/2016 Title   PRIME Draft Evaluation Design (8/29/2016) (PDF, 566.99 KB)
Date   07/14/2016 Title   CMS Approval of CA Uncompensated Care Pool Amounts for Years 2-5 (07/14/2016) (PDF, 53.76 KB)
Date   06/23/2016 Title   Amendment 16 - Whole Person Care Tribal Entity Amendment (06/23/2016) (PDF, 244.88 KB) View Comments
Date   06/23/2016 Title   Amendment 16 – Completeness Letter (06/23/2016) (PDF, 65.81 KB)
Date   06/20/2016 Title   CMS Approval of DMC-ODS Evaluation Design (06/20/2016) (PDF, 1.86 MB)
Date   06/20/2016 Title   Drug Medi-Cal Organized Delivery System Evaluation Design (06/20/2016) (PDF, 1.89 MB)
Date   06/17/2016 Title   CMS Approval of DMC-ODS CPE Protocol (06/17/2016) (PDF, 69.51 KB)
Date   05/31/2016 Title   Medi-Cal 2020 DY 11 Q1 Progress Report (05/31/2016) (PDF, 1.67 MB)
Date   05/31/2016 Title   Medi-Cal 2020 PRIME DY 11 Q1 Quarterly Report (PDF, 136.87 KB)
Date   05/15/2016 Title   CA Uncompensated Care Pool – Report 1 (5/15/2016) (PDF, 3.32 MB)
Date   05/13/2016 Title   CA WPC Protocol and Application Approval Letter (05/13/2016) (PDF, 642.74 KB)
Date   03/21/2016 Title   CA GPP Protocols Approval Letter (03/21/2016) (PDF, 221.01 KB)
Date   03/02/2016 Title   CMS Approval of PRIME Protocols (03/02/2016) (PDF, 883.31 KB)
Date   03/01/2016 Title   Annual Report - Demo Year 10 (03/01/2016) (PDF, 1023.85 KB)
Date   02/24/2016 Title   CMS Approval - Medi-Cal Drug Delivery System County Implementation Plan (02/24/2016) (PDF, 147.28 KB)
Date   12/30/2015 Title   CMS Demonstration Extension Approval – December 2015 (PDF, 2.1 MB)
Date   12/24/2015 Title   Quarter Report – Demo Year 10 (7/1/15-10/31/15) (PDF, 581.33 KB)
Date   12/20/2015 Title   CMS Demonstration Extension Approval – December 2015 (12/20/2015) (PDF, 2.1 MB)
Date   10/31/2015 Title   CMS Agreement in Principle (10/31/2015) (PDF, 3.94 MB)
Date   10/26/2015 Title   CMS Technical Corrections Approval (10/26/2015) (PDF, 4.61 MB)
Date   09/10/2015 Title   State Acceptance Letter – Drug Medi-Cal Organized Delivery System (PDF, 416.57 KB)
Date   08/28/2015 Title   CA Acceptance Letter (08/28/2015) (PDF, 66.77 KB)
Date   08/21/2015 Title   Quarter Report – Demo Year 10 (4/1/15-6/30/15) (PDF, 424.1 KB)
Date   08/13/2015 Title   August 2015 CMS Amendment Approval (08/13/2015) (PDF, 4.58 MB)
Date   07/31/2015 Title   Demonstration Approval (07/31/2015) (PDF, 4.48 MB)
Date   05/29/2015 Title   Quarter Report – Demo Year 10 (1/1/15-3/31/15) (PDF, 444.7 KB)
Date   04/10/2015 Title   Completeness Letter (04/10/2015) (PDF, 32.63 KB)
Date   03/27/2015 Title   California 2015 Extension Request (03/27/2015) (PDF, 7.89 MB) View Comments
Date   02/27/2015 Title   Quarter Report – Demo Year 10 (10/1/14-12/31/14) (PDF, 742.81 KB)
Date   01/07/2015 Title   DSRIP Midpoint Assessment & CMS Comments (01/07/2015) (PDF, 2.85 MB)
Date   12/31/2014 Title   Bridge to Reform Quarterly Report Oct-Dec 2014 (12/31/2014) (PDF, 229.95 KB)
Date   12/30/2014 Title   CMS Approval Amendment 13 – Tribal Uncompensated Care (12/30/2014) (PDF, 6.94 MB)
Date   12/09/2014 Title   Quarter Report – Demo Year 10 (7/1/14-9/30/14) (PDF, 533.13 KB)
Date   12/05/2014 Title   CRIHB Completeness Letter (12/05/2014) (PDF, 64.74 KB)
Date   12/05/2014 Title   SUD Completeness Letter (12/05/2014) (PDF, 64.52 KB)
Date   12/04/2014 Title   Pending Application - SUD (12/05/2014) (PDF, 624.58 KB) View Comments
Date   11/28/2014 Title   CMS Approval Amendment 12 – CBAS & SPD Amendment (11/28/2014) (PDF, 8.71 MB)
Date   11/24/2014 Title   CRIHB Application (11/24/2014) (PDF, 486.17 KB)
Date   10/31/2014 Title   Annual Report – Demo Year 9 (7/1/13-6/30/14) (PDF, 811.64 KB)
Date   10/29/2014 Title   Temporary Extension Letter (10/29/2014) (PDF, 79.78 KB)
Date   09/12/2014 Title   Completeness Letter (09/12/2014) (PDF, 91.55 KB)
Date   09/03/2014 Title   Pending Application – Full Scope Medical Coverage for Low Income Pregnant Women (PDF, 526.37 KB) View Comments
Date   08/29/2014 Title   Quarter Report – Demo Year 9 (4/1/14-6/30/14) (PDF, 453.89 KB)
Date   08/13/2014 Title   Proposal to Amend (08/13/2014) (PDF, 76.25 KB)
Date   08/12/2014 Title   Letter to Amend (08/12/2014) (PDF, 165.95 KB)
Date   08/11/2014 Title   Low Income Health Program Evaluation Design (08/11/2014) (PDF, 10.61 MB)
Date   08/01/2014 Title   Excerpts of current SPD STCs (08/01/2014) (PDF, 620.32 KB)
Date   08/01/2014 Title   Letter to Ammend (08/01/2014) (PDF, 229.04 KB)
Date   08/01/2014 Title   Temporary Extension Letter (08/01/2014) (PDF, 80.28 KB)
Date   07/09/2014 Title   Coordinated Care Initiative (CCI) Evaluation Design (07/09/2014) (PDF, 763.2 KB)
Date   06/13/2014 Title   Letter to Ammend (06/13/2014) (PDF, 70.73 KB)
Date   06/05/2014 Title   CBAS Amendment Standards of Participation (06/05/2014) (PDF, 116.14 KB)
Date   05/29/2014 Title   Quarter Report – Demo Year 9 (1/1/14-3/31/14) (PDF, 485.9 KB)
Date   05/21/2014 Title   Approval Letter (05/21/2014) (PDF, 190.58 KB)
Date   05/21/2014 Title   CMS Technical Corrections - Amendment 11 Coordinated Care Initiative (05/21/2014) (PDF, 8.65 MB)
Date   03/25/2014 Title   Delivery System Reform Incentive Payment Evaluation Design (03/25/2014) (PDF, 466.09 KB)
Date   03/19/2014 Title   CMS Approved Amendment 11 – Coordinated Care Initiative (03/19/2014) (PDF, 4.14 MB)
Date   02/28/2014 Title   Quarter Report – Demo Year 9 (10/1/13-12/31/13) (PDF, 422.95 KB)
Date   01/01/2014 Title   Special Terms and Conditions (Amended 01/01/14) (PDF, 234.03 KB)
Date   12/24/2013 Title   Approval to Amend Letter (12/24/13) (PDF, 229.52 KB)
Date   11/27/2013 Title   Quarter Report – Demo Year 9 (7/1/13-9/30/13) (PDF, 436.31 KB)
Date   10/30/2013 Title   Annual Report – Demo Year 8 (7/1/12-6/30/13) (PDF, 1.55 MB)
Date   10/30/2013 Title   Proposal to Amend Letter (10/30/13) (PDF, 206.02 KB)
Date   09/01/2013 Title   Special Terms and Conditions (09/1/13) (PDF, 1.24 MB)
Date   08/30/2013 Title   Quarter Report – Demo Year 8 (4/1/13-6/30/13) (PDF, 211.2 KB)
Date   08/29/2013 Title   CMS Approval Amendment 9 - Expansion of Medi-Cal Managed Care (08/29/13) (PDF, 3.6 MB)
Date   06/28/2013 Title   CMS Approved Amendment 8 – Safety Net Care Uncompensated Care Pool (06/28/2013) (PDF, 3.59 MB)
Date   06/18/2013 Title   Proposal to Amend Letter (06/18/13) (PDF, 197.86 KB)
Date   06/06/2013 Title   Quarter Report – Demo Year 8 (1/1/13-3/31/13) (PDF, 404.76 KB)
Date   04/26/2013 Title   Letter to Amend (04/26/2013) (PDF, 870.07 KB)
Date   04/05/2013 Title   CMS Approval Amendment 7 - Tribal Uncompensated Care (04/05/13) (PDF, 2.8 MB)
Date   01/16/2013 Title   California Children’s Services Evaluation Design (01/16/2013) (PDF, 2.39 MB)
Date   01/01/2013 Title   Special Terms and Conditions (Amended 01/01/13) (PDF, 3.35 MB)
Date   12/31/2012 Title   Approval to Amend Letter (12/31/12) (PDF, 638.23 KB)
Date   10/30/2012 Title   Expenditure Authority (10/30/12-10/31/2015) (PDF, 175.43 KB)
Date   10/30/2012 Title   Proposal to Amend Letter (10/30/12) (PDF, 296.12 KB)
Date   08/10/2012 Title   Letter Requesting Approval (08/10/12) (PDF, 244.76 KB)
Date   06/29/2012 Title   1115 Waiver Total 1115 (PDF, 175.25 KB)
Date   06/28/2012 Title   Approval to Amend Letter (06/28/12) (PDF, 343.29 KB)
Date   06/22/2012 Title   Draft Amendment Centers For Medicare & Medicaid Services Specials And Conditions (06/22/12) (PDF, 235.36 KB)
Date   06/22/2012 Title   Draft Amendment Centers For Medicare & Medicaid Services Specials And Conditions (06/22/12) (PDF, 235.33 KB)
Date   06/22/2012 Title   Expenditure Authority (06/22/12) (PDF, 285.95 KB)
Date   06/22/2012 Title   Expenditure Authority (06/22/12) (PDF, 285.96 KB)
Date   06/22/2012 Title   Proposal to Amend Letter (06/22/12) (PDF, 371.69 KB)
Date   06/22/2012 Title   Proposal to Amend Letter (06/22/12) (PDF, 371.68 KB)
Date   05/01/2012 Title   Revision Letter (05/1/12) (PDF, 232.69 KB)
Date   05/01/2012 Title   Submission Letter for Pending Amendment (05/01/12) (PDF, 232.71 KB)
Date   04/11/2012 Title   Section 1115 Demo Amendment Proposal (Submitted 04/11/12) (PDF, 341.54 KB)
Date   04/11/2012 Title   Section 115 Demo Amendment Proposal (Submitted 04/11/12) (PDF, 341.52 KB)
Date   04/11/2012 Title   Technical Amendment Request for STCs (PDF, 1.32 MB)
Date   04/11/2012 Title   Technical Amendment Request for STCs (PDF, 1.32 MB)
Date   02/10/2012 Title   Proposed LIHP HIV Transition Plan (02/10/12) (PDF, 324.39 KB)
Date   02/10/2012 Title   Proposed LIHP HIV Transition Plan (2/10/12) (PDF, 324.38 KB)
Date   12/14/2011 Title   Amendment Request Letter (12/14/11) (PDF, 187.61 KB)
Date   12/14/2011 Title   Letter to Amend (12/14/11) (PDF, 187.7 KB)
Date   12/12/2011 Title   Low Income Health Program Allocation Table (12/12/11) (PDF, 164.66 KB)
Date   12/12/2011 Title   Low Income Health Program Allocation Table (12/12/11) (PDF, 164.7 KB)
Date   07/22/2011 Title   Amendment Request Letter (with enclosures) (07/22/11) (PDF, 327.07 KB)
Date   07/22/2011 Title   Letter to Amend (07/22/11) (PDF, 327.21 KB)
Date   11/01/2010 Title   Attachment F (11/1/10-10/31/15) (PDF, 159.01 KB)
Date   11/01/2010 Title   Expenditure Authority (11/1/10-10/31/15 Amended 12/24/13) (PDF, 161.04 KB)
Date   11/01/2010 Title   Expenditure Authority (11/01/10-10/31/15 Amended 04/05/13) (PDF, 164.98 KB)
Date   11/01/2010 Title   Expenditure Authority (11/01/10-10/31/15 Amended 08/29/13) (PDF, 160.59 KB)
Date   11/01/2010 Title   Expenditure Authority (11/01/10-10/31/15 Amended 12/31/12) (PDF, 272.63 KB)
Date   11/01/2010 Title   Expenditure Authority (11/1/10-10/31/15 Amended 06/28/12) (PDF, 157.81 KB)
Date   11/01/2010 Title   Program Description & Context (11/1/10-10/31/15) (PDF, 185.09 KB)
Date   11/01/2010 Title   Special Terms and Conditions (11/01/10-10/31/15 Amended 04/05/13) (PDF, 3.98 MB)
Date   11/01/2010 Title   Special Terms and Conditions (11/01/10-10/31/15 Amended 12/24/13) (PDF, 2.98 MB)
Date   11/01/2010 Title   Special Terms and Conditions (11/1/10-10/31/15 Amended 08/29/2013) (PDF, 2.87 MB)
Date   11/01/2010 Title   Waiver Authority (11/01/10-10/31/15 Amended 12/31/12) (PDF, 186.3 KB)
Date   11/01/2010 Title   Waiver Authority (11/01/10-10/31/15 Amended 12/31/12) (PDF, 186.3 KB)
Date   11/01/2010 Title   Waiver Authority (11/01/10-12/31/15 Amended 12/31/12) (PDF, 186.3 KB)
Date   11/01/2010 Title   Waiver Authority (11/1/10-10/31/15 Amended 06/28/12) (PDF, 139.31 KB)
Date   11/01/2010 Title   Waiver Authority (11/1/10-10/31/15 Amended 12/24/13) (PDF, 139.75 KB)
Date   Title   Attachment K (PDF, 315.93 KB)
Date   Title   Attachment N (PDF, 177.36 KB)
Date   Title   Calculation of the Gap Chart (PDF, 134.67 KB)
Date   Title   Chart of Hospital Names (PDF, 270.39 KB)
Date   Title   DPH Chart (PDF, 142.35 KB)
Date   Title   DPH UPL Calculator (PDF, 233.97 KB)
Date   Title   Days Chart (PDF, 133.39 KB)
Date   Title   Discharge/Well Days Chart (PDF, 255.88 KB)
Date   Title   FFS/PHP Days Chart (PDF, 172.54 KB)
Date   Title   Funding Flow Chart for HIV Waiver Incentive (PDF, 235.75 KB)
Date   Title   Funding Flow Chart for HIV Waiver Incentive Program (PDF, 235.75 KB)
Date   Title   Hospital Contract Type Chart (PDF, 142.47 KB)
Date   Title   Hospital/Medi-Cal Paid Amounts (PDF, 240.55 KB)
Date   Title   Inflation Hospital Chart (PDF, 144.52 KB)
Date   Title   Inpatient UPL Chart (PDF, 137.83 KB)
Date   Title   Letter to Amend (PDF, 2.44 MB)
Date   Title   NDPH Inpatient UPL Summary (PDF, 134.73 KB)
Date   Title   New Managed Care Counties (PDF, 224.71 KB)
Date   Title   Pediatric/Adult Days Chart (PDF, 285.34 KB)
Date   Title   Projected Charges for Private Hospitals Chart (PDF, 176.73 KB)
Date   Title   Projected Medicare Charges Chart (PDF, 201.13 KB)
Date   Title   Projected Medicare Charges Chart (PDF, 266.65 KB)
Date   Title   Projected/Adjusted Chart (PDF, 283.43 KB)
Date   Title   Proposed Amendment to STC 115 (PDF, 197.88 KB)
Date   Title   Proposed Amendment to STC 115 (PDF, 197.92 KB)
Date   Title   Proposed Amendment to STC 23.b. and f. (PDF, 970.97 KB)
Date   Title   Proposed Amendment to STC 23.b. and f. (PDF, 970.98 KB)
Date   Title   Public Comments (PDF, 95.82 KB)
Date   Title   Safety Net Financing Division (SNFD) Amendment to the Bridge Reform Waiver (PDF, 167.56 KB)
Date   Title   Safety Net Financing Division (SNFD) Amendment to the Bridge to Reform Waiver (PDF, 167.61 KB)
Date   Title   UPL Remaining after Transitions (PDF, 199.13 KB)
Date   Title   UPL and Expenditure Adjustments for SPD transitions to Managed Care (PDF, 135.03 KB)
Date   Title   WOW SPD’s (PDF, 260.15 KB)
Date   Title   Waiver Outline (PDF, 190.88 KB)
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